绘制埃塞俄比亚现代避孕服务的有效覆盖范围
Samrawit Birhanu Alemu1, Molla Yigzaw Birhanu1, Mekdes Tamiru Yizengaw2
1Department of Public Health, Debre Markos University, Debre Markos, Ethiopia.
PloS one
|July 7, 2025
概括
埃塞俄比亚有效的现代避孕措施覆盖率为20%,远低于原始覆盖率. 这项研究绘制了这些差异的地图,以指导服务不足地区的干预措施,以获得更好的孕产妇和婴儿健康结果.
科学领域:
- 公共卫生 公共卫生
- 地理空间分析是什么
- 生殖健康 生殖健康
背景情况:
- 现代避孕服务对于降低母婴死亡率至关重要.
- 埃塞俄比亚对这些服务的有效覆盖率很低,分布不均.
- 了解空间差异是有针对性的干预措施的关键.
研究的目的:
- 估计埃塞俄比亚现代避孕服务的有效覆盖率.
- 分析有效覆盖范围的空间分布.
- 确定覆盖率较低的地区进行有针对性的改进.
主要方法:
- 利用2019年埃塞俄比亚人口健康调查 (EMDHS) 进行粗略覆盖.
- 雇员 2021-2022 埃塞俄比亚服务提供评估 (ESPA) 服务质量.
- 使用欧几里德缓冲法链接数据集,并使用ArcGIS,Global Moran's I和Getis-Ord Gi*统计数据分析空间模式.
主要成果:
- 有效覆盖率为20%,比原油覆盖率低10% (30%).
- 发现了显著的空间自相关性 (全球莫兰的I=1.92,p<0.001).
- 在阿姆哈拉,奥罗米亚,西南埃塞俄比亚,西达马和SNNP确定了热点;在阿法尔,冈贝拉,奥罗米亚,贝尼尚尔-古姆兹,迪雷达瓦,哈拉里和索马里发现了冷点.
结论:
- 在埃塞俄比亚,有效的现代避孕措施覆盖范围存在显著的空间差异.
- 诸如阿法尔,冈贝拉和索马里等地区的有效覆盖率特别低.
- 政策干预应侧重于改善服务不足地区的基础设施和服务供应,以确保公平的获取.
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